FindMyNPI
California Medicaid lookup

One provider matched this Medicaid ID.

California Medicaid ID SD0056070 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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MT
NPI · 1669576716 · Active
Marc Thall OD
Optometrist · Mission Hills, California
Active
NPI
1669576716
Medicaid (CA)
SD0056070
Taxonomy
152W00000X
State
California

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 3992· Issued by MESC
  • 56-2563452· Issued by USP

Medicaid

Source: NPPES public registry.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.